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Kramer Jr. Frank G. VO NEW YORK STATE DEPARTMENT OF H EALTH Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Frank G.Kramer Jr. Male Date of Death Age If Veteran of U.S.Armed Forces, 12/01/2020 66 Years War or Dates Place of Death Hospital,Institution or W City,Town or Village Albany Street Address Albany Medical Center Hospital W Manner of Death ©Natural Cause ❑Accident Homicide Suicide I—IUndetermined Pending V Circumstances Investigation W Medical Certifier Name Title O Yuri Bychkov Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed District Number Register Number City,Town or Village Albany 0101 2620 ❑Burial Date Cemetery,Crematory or Facility Name 12/04/2020 Pine View Crematory ElEntombment Address iCremation Queensbury Town,New York ElDonation 0 Removal Date Place Removed and/or and/or Held N Hold Address 0 n. Date Point of U) ❑Transportation p by Common Shipment Carrier Destination ❑Disinterment Date Cemetery Address Date Cemetery Address ❑Reinterment Permit Issued to Registration Number Name of Funeral Home Brewer Funeral Home Inc 00211 Address 24 Church Street PO Box 500,Lake Luzerne,New York 12846 Name of Funeral Firm Making Disposition or to Whom Remains are Shipped,If Other than Above 2 Address CC W EL Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 12/02/2020 Registrar of Vital Statistics Danielle S Gillespie(Electronically Signed) (signature) District Number 0101 Place Albany, New York I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: WDate of Disposition )Z l h I2r7 Place of Disposition 2 (address) W N (section) At number) (grave number) CCLL 1 g Name of Sexton or Person in Charge Premises Z (please int) lL Signature c Title DOH-1555(o7/18)p t of 2 Public Health Law Se -4145(2b) 014262 Receipt •1 Human remains of delivered on , 20 'I. Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#